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Missouri rates for HCPCS 29875

Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.77 / $4,931.00 / $12,174.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,404.79 / $5,965.00 / $16,201.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,813.00 / $9,841.00 / $14,444.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.29 / $793.10 / $8,957.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$128.55 / $128.55 / $849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,926.00 / $7,851.00